Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OTB983 | CA |
NPI | 1164818795 |
---|---|
Provider Name | Marissa Curro |
First Address | San Marcos, CA 92078-4250 |
Second Address | San Marcos, CA 92078-4250 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2015 |
Last Update Date | 10/04/2015 |